Nursing Work Plan of Internal Medicine Ward 1 Over the past year, general practitioners have taken patients' needs as the starting point of all work in their departments, provided patients with satisfactory medical services, carried out health education, discussed difficult and serious diseases, reported crisis values, entered the clinical pathway and other activities, greatly improved cardiology facilities and developed new hemodialysis technologies; After studying peritoneal dialysis technology, our department will seize the opportunity of high-quality nursing demonstration departments in the new year to upgrade medical equipment and technology. In terms of equipment purchase, it is planned to apply for bedside electrocardiograph and cardiac marker detector. For example, the development of these new projects has put forward higher requirements for nursing work. In the new year, we must further improve the level and quality of nursing. The plan is as follows:
First, improve service attitude and improve nursing quality
1, the object of nursing work has expanded from simply serving patients to patients' families, medical care, logistics and equipment personnel. All nursing staff go to relevant departments at least once a week to strengthen communication with doctors, collect patient information, gain understanding, trust and support, and better cooperate with treatment and nursing.
2. The nature of nursing work extends from medication care to holistic care of patients' body and mind. Always think of the patient and take the initiative to do psychological care for the patient. Improve the service attitude, ensure the service for patients in the nursing work state, meet all reasonable needs of patients, and the satisfaction rate is over 95%.
3. Use morning meetings, nurses' regular meetings, nursing rounds and other forms to enhance nurses' service awareness, take the initiative to serve, warmly receive and introduce the situation. Do four things lightly, greet patients in all nursing and treatment operations, adopt encouraging language and move gently, so that patients can feel the warmth of our loved ones.
4, formulate strict departmental rules and regulations and reward and punishment measures. Organize an accident discussion and analysis meeting once a month, and put forward rectification opinions on recurring problems to prevent accidents.
5, strict disinfection and isolation, disinfection and isolation of qualified rate 100%. Strictly carry out aseptic operation technology, correct people and things that violate aseptic principle in time to prevent hospital infection.
6. The intact rate of first-aid medical instruments is 100%, which should be carefully checked during the shift change, so that the first-aid patients can be agile, flexible and skilled in the rescue.
7, reasonable fees, in case of doubt and dispute timely check processing, regular inspection department medical and office supplies, reduce waste and loss. Special person is responsible for the maintenance of medical equipment, understand the performance and usage of the equipment, and ensure the normal operation of the clinic.
Second, strengthen the training of nurses and establish an angel image.
1. Strengthen basic knowledge, professional knowledge and professional technical training, and require everyone to be proficient in ECG machine, ECG monitor and defibrillator technology.
2. Head nurses should improve their ideological and political quality, learn cultural science, professional practice and management science knowledge, strengthen the scientific and standardized nursing management, and effectively improve the level and quality of nursing management.
3. Change the service concept and improve the service attitude. Under no circumstances can you shirk your responsibility. Advocate one-on-one full service.
4, create learning opportunities for each nurse, through hospital network lectures, participate in self-study, etc., so that nurses can constantly accept new ideas, new knowledge and new methods, master the development trend of nursing, and improve their nursing ability and level.
Third, do a good job in nursing teaching
1, carefully organize small lectures in departments, including three basic theories and operation training. Cleverly cooperate with the development of new technology. Mobilize the enthusiasm of nurses, encourage the development of new technologies and methods, make the projects carried out this year more mature, alleviate the suffering of patients and continuously improve the quality of nursing.
2, according to the existing department staff is less, more new staff, our department will put safety goal education in the first place, organize and seriously study the top ten safety goals and hospital core system and work system, etc. Relevant documents and specifications issued by the demonstration project are one of the contents of pre-job training, business lectures and nurse training for nursing staff.
3, each department continue to try out the nurse classification management, improve the quality of basic nursing, improve nursing service.
Four, reasonable deployment of nurses, reasonable scheduling.
Five, establish and improve the performance appraisal incentive mechanism to mobilize the enthusiasm of nurses.
Principles of performance distribution for nurses in wards: distribution according to grades, distribution according to work, more work and more pay, excellent work and excellent pay, fairness and justice. Distribution basis: job responsibilities, technology, labor complexity and risk taking; Quality of work; Number of jobs; Patient satisfaction, etc. Strive to improve the performance income of the department.
Nursing work plan of internal medicine ward. Strengthen the quality management of clinical nursing.
1. Strengthen ward nursing management, under the leadership of the nursing department of our hospital, with the goal of creating the nursing demand of dimethyl hospital, ensure nursing safety, provide high-quality nursing service for patients, do a good job in quantitative evaluation of nurses' performance in our department, increase income and reduce expenses, and create nursing economic value.
2. Strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks, and provide patients with high-quality, safe and orderly nursing services.
3, the implementation of various rules and regulations, regular and irregular inspection, supervision in place, and supervision and inspection records.
4, strengthen the management of critically ill patients, the critically ill patients as the focus of discussion in the morning meeting and succession, to evaluate the existing and potential dangers of patients, to achieve * * * knowledge, attract the attention of each class.
5. Manage key employees such as intern nurses, rotating nurses and new nurses, educate them on legal awareness, improve their awareness and ability to resist risks, and make students clear that they can only care for patients under the guidance or supervision of the teaching teacher. At the same time, nurses with clinical experience and strong sense of responsibility are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.
6. Improve nursing records and reduce potential safety hazards. Pay attention to the problems existing in nursing documents at this stage, and avoid irregular writing, such as missing words, unclear alteration, inconsistency and inconsistency with doctors' records. It not only reflects the comprehensive record of nursing problems, but also reflects the particularity of specialized nursing, thus making nursing documents standardized and standardized.
7. Improve the nursing emergency risk plan, pay attention to cultivating nurses' emergency ability at ordinary times, and make a retrospective evaluation of each emergency work, learn from it, and improve nurses' ability to deal with emergencies.
Two, adhere to the "people-oriented" service concept, and promote the "quality nursing service demonstration project" activities.
1. Organize new nurses to learn relevant documents, understand the spirit and work requirements of the documents, and correctly understand the purpose, significance, work essence and specific measures of carrying out the "quality nursing service demonstration project" activity.
2. Further improve the work flow of holistic nursing with group responsibility system, give full play to the role of the responsible group leader, truly implement the therapeutic nursing, condition observation, health education, psychological nursing and life nursing of the responsible patients, and provide patients with full-course, continuous and personalized nursing services. Improve service attitude, advocate civilized service, and enhance the awareness of active service. Take the initiative to provide basic care and life care for patients and implement health education. Improve patient satisfaction and promote harmony between doctors and patients.
3. Strengthen the hierarchical management of nurses, clarify the qualifications and responsibilities of responsible nurses at all levels, reasonably and dynamically divide nurses according to the patient's condition, nursing difficulty, technical requirements and other factors, ensure that everyone is responsible for patients, and ensure that each nurse, including the responsible team leader, is responsible for patients ≤8; It not only emphasizes the management of critically ill patients by senior nurses, but also emphasizes everyone's participation in life nursing, so that nurses can be stratified.
4. According to the specialty characteristics, further optimize the service process, improve the service details, develop characteristics, and establish a high-quality specialty nursing service brand.
5. Improve the health education materials for common diseases in internal medicine, and gradually implement the signature confirmation system for patients or their families with health education.
6. Hold a holiday symposium once a month. Listen to the opinions of patients and their families on nursing work extensively, and constantly improve nursing services.
Three, standardize the development of traditional Chinese medicine nursing work
1, perfect, perfect and implement the traditional Chinese medicine nursing routine. Actively carry out specialist disease care and provide health guidance with Chinese medicine characteristics.
2. Under the guidance of "Guide to TCM Nursing Work in TCM Hospitals", make a TCM knowledge and skills training plan, do a good job in "three basics" training for TCM nurses, focus on basic knowledge and skills training and TCM culture learning for western medicine graduates, improve the theory and skills of TCM nurses, and lay a solid foundation for developing TCM characteristic nursing services.
Fourth, strengthen the professional training of nurses
1, strictly implement the three basics and three strictness training plan, improve the overall quality of nursing staff, do a good job in the training and assessment of nurses' "three basics" and specialist skills according to the implementation plan of standardized training and on-the-job continuing education for nurses, focus on strengthening the assessment of new nurses, hired nurses and junior nurses, strengthen the training of specialist skills and strengthen learning awareness, and take specific measures:
1), organize the study of hospital rules and regulations, job responsibilities and nursing core system.
2), formulate the TCM nursing routine of common diseases in our hospital and organize learning.
3), make Chinese medicine business learning plan, Chinese medicine skill operation plan, basic theory and skill operation plan, and make courseware, organize general nursing staff to study and assess, and record the results.
4), ask the nurse in the nursing ward round, the content is traditional Chinese medicine nursing routine, basic theoretical knowledge, specialist theoretical knowledge, hospital infection knowledge.
5) Make use of the morning meeting to ask questions about the core system of hospital nursing and the routine of traditional Chinese medicine nursing for common diseases, so that every nurse can master and conscientiously implement it and better serve patients.
6), once a month, TCM nursing rounds, to guide the TCM nursing of critically ill patients, improve the professional ability of nurses.
7) Master the use of first-aid equipment and instruments, strengthen the awareness of routine inspection of first-aid facilities, strengthen the performance and safety inspection at ordinary times, find problems in time and maintain them in time to keep the equipment in good condition.
2. Pay special attention to the teaching of interns: conduct pre-job training for each intern student who enters the department, make an internship teaching plan, give a lecture on specialized knowledge, conduct an examination of specialized theory and operation, draw a nursing temperature list, and write nursing records. Only when they are qualified can they leave the department.
Five, this year's nursing work objectives
1. The qualified rate of basic nursing is 100%.
2. The qualified rate of super and first-class nursing is ≥90%
3. The qualified rate of nursing "three basics" and "three strictness" inspection quality is 100%.
4. The pass rate of nursing technical operation examination is 100%.
5. The pass rate of the theoretical examination of three basic nursing courses is 100%.
6. The management integrity rate of emergency medical equipment 100%.
7. The qualified rate of quality inspection of emergency medical equipment is 100%.
8. The qualified rate of disinfection and isolation quality is 100%.
9. The implementation rate of disinfection for one person, one needle, one tube and one use is 100%.
10. The qualified rate of ward management is 100%.
1 1. The incidence of pressure ulcers after hospitalization is 0 (except the inevitable pressure ulcers).
12. The incidence of nursing accidents was 0.
13. The qualified rate of nursing document writing is ≥95%.
Nursing Work Plan for the Third Ward of Neurology 20xx Neurology Nursing will take hospital development planning as the core, nursing quality as the core, patients as the center, service, quality and safety as the key service concept, with the theme of improving professional quality and optimizing nursing service, and taking the opportunity of top three assessment as an opportunity to improve service level, continuously improve nursing quality, innovate management methods and continuously improve social satisfaction.
First, strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks, and provide patients with high-quality, safe and orderly nursing services.
1. Constantly strengthen nursing safety education, remind unsafe factors in work in time, and propose corrective measures. Taking the nursing mistakes in and out of the hospital as an example, this paper discusses and draws lessons from them, so that nurses can fully understand the error factors, new situations and new characteristics, learn lessons from them, and make the safety alarm ring constantly.
2, the implementation of various rules and regulations, regular and irregular inspection, supervision in place, and supervision and inspection records.
3. Strengthen the risk management of key links such as night shift, middle shift and holidays. Reduce the frequency of shift change, reduce work loopholes, reasonably match young nurses and old nurses on duty, and pay attention to cultivating the spirit of caution and independence when nurses are on duty independently.
4. Strengthen key management, such as handover of critically ill patients, prevention of pressure ulcers, blood transfusion, special medication, patient pipeline management and potential risk assessment of patients.
5, strengthen the care of key patients: such as critically ill patients, elderly patients, as the focus of discussion in early meetings or shift changes, evaluate the existing and potential risks of patients, so as to be informed and attract the attention of each class.
6. Management of key employees: such as internship nurses, rotation nurses, new nurses, etc. Educate them in legal awareness, improve their awareness of prevention and ability to resist risks, and make students clear that they can only care for patients under the guidance or supervision of the teaching teacher. At the same time, nurses with clinical experience, strong sense of responsibility and nurse qualifications are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.
7. Further standardize the writing of nursing documents to reduce potential safety hazards. Pay attention to the problems existing in nursing documents at this stage, make the records objective, true, accurate, timely and complete, and avoid irregular writing, such as typos, unclear alterations, inconsistencies with doctors' records, etc., so as to standardize and standardize nursing documents.
8, improve the nursing emergency risk plan, usually pay attention to cultivate nurses' emergency ability, in view of various emergency work, such as blood transfusion, infusion reaction, special liquid, drug leakage, sudden power failure, etc. We should make a retrospective evaluation, draw lessons from it and improve nurses' ability to deal with emergencies.
Second, take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.
1. The responsible nurse sincerely receives patients, sends them to bed, and actively carries out health education for discharged patients.
2. Strengthen service awareness education, improve the concept of humanized active service, add basic nursing day and health education day every Tuesday, and make education guidance and safety precautions at any time in each class.
3. Establish health education prescriptions, issue nurse-patient contact cards, hold monthly forums to solicit opinions from patients and their families, and praise and criticize nurses with good or bad service quality.
Three, the establishment of inspection, evaluation and feedback system
Establish traceability system, head nurse and quality control team, and often go deep into the ward for inspection, supervision and evaluation. The evaluation method is to evaluate nurses on the spot, check patients, check records and listen to doctors' opinions, find problems in nursing work and improve rectification measures.
Fourth, strengthen the "three basics" training plan to improve the overall quality of nursing staff.
1. Ask questions every morning, including basic theoretical knowledge, specialized theoretical knowledge, nosocomial infection knowledge, etc.
2, every quarter for specialist emergency plan demonstration, familiar with the use of first aid equipment and instruments.
3. In the morning, the responsible nurse will collect the undergraduate medication instructions and explain the pharmacological effects and precautions.
4, and ask questions about the core system of the hospital, so that every nurse can master and implement it seriously.
5, often review the nursing emergency risk plan and make a simulation demonstration to improve the emergency ability of nurses.
Five, according to the requirements of the stroke screening base, actively do a good job in nursing.
1, designated personnel to do a good job of health education and follow-up after discharge.
2. Organize patients and their families to give centralized lectures irregularly to teach rehabilitation knowledge and family nursing knowledge, so as to improve patients' quality of life.
3. Do a good job in screening and data statistics.
Nursing work plan for four wards of internal medicine. Nursing should be said to be the hardest and hottest job in the medical industry, especially in internal medicine. Because nurses are the earliest and closest workers who have the most contact with patients, the quality and image of nurses directly affect the image of the hospital. People say that "three-point treatment and seven-point care" is not very accurate, but it reflects the important role and status of nursing work. Nurses have made positive contributions to people's health, so they are respected by the society and known as "angels in white".
In the new year of 20xx, we insist on integrating the humanistic nursing concept of "patient-centered" into more practical and specific work details. In the form of management, it pursues "patient demand as service orientation", pays attention to knowledge updating and actively absorbs multidisciplinary knowledge in business, emphasizes knowledge, law-abiding, civilized and standardized service and creates a good training environment for patients in team building, and gradually trains nursing staff into managers, educators, caregivers and researchers of patients' health. The work plan of internal medicine nursing for 20xx years is specially formulated:
First, strengthen the on-the-job education of nurses and improve the professional quality of nursing staff.
1. Strengthen the study and mastery of relevant knowledge, organize nurses to give lectures regularly, take turns to give lectures, and conduct rules and regulations and professional training. In case of special difficulties, you can ask a doctor to teach and update your knowledge and skills. Learn from each other and take notes.
2. Focus on strengthening the assessment of nurses and strengthening their awareness of learning. The work plan of the nursing department focuses on strengthening the training of "three basics" nursing knowledge and professional skills. Senior nurses take turns to give questions, increase assessment, pay attention to practical results, and rank in the table. The results are included in the personal files as an objective basis for personal assessment, and they compete with each other until they reach the standard.
3. Do a good job of nurse rotation, so that young nurses can combine theory with practice and master multidisciplinary knowledge and ability.
4. The development of nursing level and medical technology is unbalanced, and some nurses are sent out to study in a planned way to improve the quality of nursing staff and optimize the nursing team. Constantly update nursing knowledge.
Two, nursing safety is the focus of nursing management, safety work for a long time.
1. link monitoring of nursing staff: strengthen the management of newly transferred nurses and nurses with thoughts and emotions, and make key explanations and follow-up. Do a good job in nursing safety management, reduce medical disputes and hidden dangers of medical accidents, and ensure the safety of patients seeking medical treatment.
2. Patient link monitoring: focus on supervision, inspection and monitoring of newly admitted patients, newly transferred patients, critically ill patients and patients with potential risks of medical disputes.
3. Time link monitoring: during holidays, weekends, busy work, fatigue time and shift change, supervision and management should be strengthened.
4. Nursing operation link monitoring: transfusion, blood transfusion, injection and various allergy tests. Although it is daily work, if there is a problem, it is a matter of life and death, which is the focus of monitoring in nursing management.
5. The nursing department will check the hidden dangers of nursing safety from time to time, find problems, solve problems, analyze the reasons from the perspective of itself and departments, learn lessons, and put forward preventive and improvement measures. Departments and individuals with the same recurring problems should be held accountable to prevent serious mistakes and accidents.
Third, change the concept of nursing and improve the quality of service.
1. The nursing department continued to strengthen the construction of medical ethics and enhance the sense of responsibility.
Cultivate nursing staff to establish the concept of "patient-centered", with the patient's voice as the first signal, the patient's needs as the first need, the patient's interests as the first consideration, and the patient's satisfaction as the first standard. Strengthen the consciousness of active service, quality and safety, improve the communication skills between nurses and patients on the basis of further standardizing nursing operations, promote the improvement of nursing quality and ensure the safety and effectiveness of nursing work.
2. Pay attention to the collection of nursing service demand information. The nursing department obtains patients' needs and feedback information by understanding the opinions of return visits, talking with outpatients and inpatients, and issuing satisfaction questionnaires. It often listens to doctors' opinions and puts forward improvement measures in time. At the same time, encourage nurses to work, arouse their enthusiasm, and do real active service in thought and practice. Apply the service concept of "serving with heart and creating emotion" to practical work.
3. Strictly implement the primary inspection system, emphasize that the secondary inspection is in place, strengthen the responsibility of safety management, and put an end to major mistakes and accidents. Improve nursing quality on the basis of safety.
4. Deepen family services and improve service quality. On the basis of cultivating nurses' daily etiquette, we should further standardize nursing operation terms and nurse-patient communication skills. Cultivate nurses and establish a good professional image.
Fourth, rational use of human resources to avoid overstaffing.
The ratio of doctors and nurses in our hospital is unreasonable and there are few nurses. The work is heavy, and the head nurse should rationally allocate human resources according to the patient's situation and the nursing workload of the department, flexibly arrange shifts, and increase the number of people working during peak hours. The nursing staff in the whole hospital can be on call when the work needs, and provide satisfactory nursing services for patients with good quality and quantity.
Fifth, establish legal consciousness and standardize the writing of nursing documents.
With the improvement of people's legal awareness and the promulgation of the Regulations on Handling Medical Accidents, how to strengthen the legal system construction in nursing service and improve the legal awareness of nursing staff has become an important link in nursing management. The nursing department strictly follows the requirements of the provincial health department's nursing document writing specification, and the nursing records are complete and objective. Clarify the significance of writing nursing documents, standardize the writing of nursing documents, and consult with colleagues in higher hospitals to clarify how to write nursing documents well to meet the requirements of norms.
Combined with the actual situation of nursing document writing in our hospital, this work is summarized and analyzed, and corresponding countermeasures are put forward to provide legal basis for proof and protect the legitimate rights and interests of both nurses and patients. Organize a nursing medical record writing competition, and the winner will be rewarded.
Six, nursing indicators to achieve the goal
1. The qualified rate of basic nursing is 100%.
2. The intact rate of first-aid articles reaches 100%.
3. The qualified rate of nursing document writing is ≥90%
4. The qualified rate of "three basics" examination for nursing staff reached 100%.
5. One person, one needle, one tube and one use disinfection qualified rate reached 100%.
6. The qualified rate of disinfection and sterilization of conventional instruments is 100%.
7. The disfigurement rate of disposable syringes and blood transfusion devices reached 65438 000%.